Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor | MH8320 | FL |
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 5224 | FL |
N | 101YM0800X | Mental Health Counselor | 0701004772 | VA |
N | 101YP1600X | Pastoral Counselor |
NPI | 1003184888 |
---|---|
Provider Name | Mr. Dennis Gowin |
First Address | Holmes Beach, FL 34217-1952 |
Second Address | Holmes Beach, FL 34217-1952 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/12/2011 |
Last Update Date | 08/04/2012 |